NPIMap

Organization Active NPI

William a. Delp,Jr. DO,PC

  • Family Medicine Physician
  • Loganville, GA
National Provider Identifier
1104004209
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017791 Issued in GA
Legal business name
WILLIAM A. DELP,JR. DO,PC
Practice address
4589 Lawrenceville Rd
Loganville, GA 30052-7320
Phone
(770) 466-8672
Fax
(770) 466-2082
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William A. Delp Jr., D.O.
Title
Physician/Owner/Officer
Phone
(770) 466-8672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 017791 GA Primary

Addresses

Primary practice location

4589 Lawrenceville Rd
Loganville, GA 30052-7320

Mailing address

4589 Lawrenceville Rd
Loganville, GA 30052-7320
Phone (770) 466-8672

Other identifiers 3

IdentifierTypeStateIssuer
235941OtherGABLUE CROSS BLUE SHEILD
GRP692OtherGAMEDICARE GROUP
406081340OtherGARAILROAD MEDICARE

Other names 1

  • Loganville Family Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1104004209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 LAWRENCEVILLE RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527320",
            "telephone_number": "770-466-8672",
            "fax_number": "770-466-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4589 LAWRENCEVILLE RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527320",
            "telephone_number": "770-466-8672",
            "fax_number": "770-466-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. DELP,JR. DO,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "DELP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER/OFFICER",
        "authorized_official_telephone_number": "770-466-8672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "017791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "235941",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP692",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406081340",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loganville Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.